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General NPI Number Information
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NPI Number | 1013146869
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Entity Type | Individual
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Provider Name | TERRI M BOLDS LPC
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Gender | Female
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Dates
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Enumeration Date | 07/14/2009
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Last Update Date | 11/14/2018
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Provider Practice Location Address
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Address Line | 2211 FULTON AVE
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City | CINCINNATI
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State | OH
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Zip | 45206-2504
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Country | US
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Telephone | 513-961-4863
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Fax |
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Provider Business Mailing Address
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Address Line | 2350 W GALBRAITH RD APT 8
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City | CINCINNATI
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State | OH
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Zip | 45239-4349
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Country | US
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Telephone | 513-317-9553
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number | C.0501321
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License Number State | OH
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